<div class="dmtin">
    <span><a href="<?= url_create('site', 'account', 'register') ?>"><?= lang('Register') ?></a></span>
</div>
<div class="clear"></div>
<div id="left_content">
    <form method="post" id="registerForm" class="form-horizontal">
		<div class="control-group">
			<label class="control-label"><?= lang('Email') ?></label>
			<div class="controls">
				<input type="text" name="email" class="input" />
			</div>
		</div>
		<div class="control-group">
			<label class="control-label"><?= lang('username') ?></label>
			<div class="controls">
				<input type="text" name="username" class="input" />
			</div>
		</div>
		<div class="control-group">
			<label class="control-label"><?= lang('password') ?></label>
			<div class="controls">
				<input type="password" name="password" class="input" />
			</div>
		</div>
		<div class="control-group">
			<label class="control-label"><?= lang('Confirm password') ?></label>
			<div class="controls">
				<input type="password" name="password1" class="input" />
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label"><?= lang('Fullname') ?></label>
			<div class="controls">
				<input type="text" name="fullname" class="input" />
			</div>
		</div>
		<div class="control-group">
			<label class="control-label"><?= lang('Mobile') ?></label>
			<div class="controls">
				<input type="text" name="mobile" class="input" />
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label"><?= lang('Address') ?></label>
			<div class="controls">
				<input type="text" name="address" class="input" />
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label"><?= lang('Identification Number') ?></label>
			<div class="controls">
				<input type="text" name="id_no" class="input" />
			</div>
		</div>
		
		<div class="control-group">
			<label class="control-label"><?= lang('Sponsor') ?></label>
			<div class="controls">
				<input type="text" name="sponsor" class="input" />
			</div>
		</div>
		
		<div class="control-group">
			<div class="controls">
				<button type="submit" name="submit" value="register" class="btn btn-success"><?= lang('Register') ?></button>
				<button class="btn"><?= lang('cancel') ?></button>
			</div>
		</div>
	</form>
</div>
<script src="<?= base_url() ?>/javascript/jquery/jquery.formParse.js"></script>
<script>
	$('#registerForm').formParse({
		ajax: true,
		ckeditor: false,
	});
</script>
